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SECRETNOTE: See instructions on reverse side.NAME (Type or print)Grayston L. LynchCATEGORY OF EMPLOYMENTCareer AgentPAY PERIOD ENDING8/23-9/10/71DUTY STATUS REPORTPAYROLL NUMBER216670STATION/BASE11gs.TOUR OF DUTY0830 1700| MONTHLY DAYS                 |     | VALT ALY | A/L | S/L | H/T | O/T | OTHER | INITIALS |     || ---------------------------- | --- | -------- | --- | --- | --- | --- | ----- | -------- | --- || 1                            | SUN |          |     |     |     |     |       |          |     || 2                            | MON |          | 8   |     |     |     |       |          |     || 3                            | TUE |          | 8   |     |     |     |       |          |     || 4                            | WED |          | 8   |     |     |     |       |          |     || 5                            | THU |          | 8   |     |     |     |       |          |     || 6                            | FRI |          | 8   |     |     |     |       |          |     || 7                            | SAT |          |     |     |     |     |       |          |     || 8                            | SUN |          |     |     |     |     |       |          |     || 9                            | MON |          | 8   |     |     |     |       |          |     || 10                           | TUE |          | 8   |     |     |     |       |          |     || 11                           | WED |          | 8   |     |     |     |       |          |     || 12                           | THU |          | 8   |     |     |     |       |          |     || 13                           | FRI |          | 8   |     |     |     |       |          |     || 14                           | SAT |          |     |     |     |     |       |          |     || 15                           |     |          |     |     |     |     |       |          |     || WEEKLY TOTALS                |     |          | 80  |     |     |     |       |          |     || 16                           | SUN |          | 8   |     |     |     |       |          |     || 17                           | MON |          | 8   |     |     |     |       |          |     || 18                           | TUE |          | 8   |     |     |     |       |          |     || 19                           | WED |          | 8   |     |     |     |       |          |     || 20                           | THU |          | 8   |     |     |     |       |          |     || 21                           | FRI |          | 8   |     |     |     |       |          |     || 22                           | SAT |          |     |     |     |     |       |          |     || 23                           | SUN |          |     |     |     |     |       |          |     || 24                           | MON |          |     |     |     |     |       |          |     || 25                           | TUE |          |     |     |     |     |       |          |     || 26                           | WED |          |     |     |     |     |       |          |     || 27                           | THU |          |     |     |     |     |       |          |     || 28                           | FRI |          |     |     |     |     |       |          |     || 29                           | SAT |          |     |     |     |     |       |          |     || 30                           |     |          |     |     |     |     |       |          |     || BIWEEKLY (OR MONTHLY) TOTALS |     |          | 40  |     |     |     |       |          |     |AUTHORIZED OVERTIME (1)AUTHORIZED OVERTIME (2)REMARKS: (Include irregular tours of duty, also other details necessary to support payments of salary, salary differentials and allowances such as arrivals, departures, changes in quarters of dependants, etc.)Subject terminates effective COB 10 Sept 71. as result of approval of involuntary retirement.INDICATE SIDE FOR TDY TRAVEL, ETC.I CERTIFY THAT THIS ABSENCE WAS DUE TO ILLNESS WHICH INCAPACITATED ME FOR DUTY.THIS SPACE FOR PAY ROLL OFFICE USE ONLYTAX O/TAX OTHER GRADE RATECERTIFIED CORRECTA (SIGNATURE - SEE INSTRUCTIONS)CERTIFICATION:I CERTIFY CORRECT AND OVERTIME AS RECORDED ABOVE** AUTHORIZED FOR PAYMENT OR CREDIT AS COMPENSATORY TIME.B (SIGNATURE - SEE INSTRUCTIONS)FORM 764 REPLACES FORM 164-SF, 4-61 WHICH MAY BE USEDSECRET